| NPI | 1386020246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY B WORTHY Owner 985-781-0548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 205358) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |